Ptosis types

[Papillon8]

Hi Doctor,
how are you?

Is there a way to tell the differences in ptosis types, particularly for acquired ptosis whether there is a detachment, or tear of the levator muscle or tendon?
How do you test for these and distinguish them, before operating and seeing the actual cause?

Thank you for your time.

[John C Hagan III, MD, FACS]

It depends on this history, the amount of levator function, the amount of ptosis and appearenace of the lids.  An Eye MD will make these measurements. If possible see an oculplastic surgeon Find one at www.aao.org

JCH MD

[Papillon8]

Hi Dr. Hagan,
thank you so much for your reply, I really appreciate your help :)

What type of ptosis is easiests to repair and make even, is it if it is a partial detachment because all you do is reattach it?

and when would you recommend a repair, is it when it is moderate to severe. And if it is mild should you not get repair, cuz ptosis repair is not precise and you could get overcorrection more likely?

Thank you so much for considering my questions again.

take care

[John C Hagan III, MD, FACS]

You will need to get that information from an Eye MD that does ptosis surgery.

JCH MD

[Papillon8]

Hi Dr. Hagan, thank you for replying again.

I heard that for some ptosis conditions the patient needs to have their eyelid muscles connected to their forehead muscles or something like that and get a brow lift too, isn't this for only severe cases of congenital ptosis?

Thank you so much!

[John C Hagan III, MD, FACS]

Yes, big surgery for big problems. Most ptosis procedures are muchless dramatic.

JCH MD

[Papillon8]

Thank you so much for all your help, I really appreciate it :)
Have a great week!

[John C Hagan III, MD, FACS]

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